General Guidelines for All Applicants

Please allow 7-10 business days to process your application. We cannot accept faxed or emailed documents. All documents must be original.  
 

HFA Applicants

• Educational requirements:
  1. Possession of a baccalaureate degree or higher in any subject from an accredited institution; OR
  2. Possession of an associate degree in health care from an accredited institution and completion of a specialized course of study provided by  HOPE  or Success Development, Inc.in long term health care administration prescribed by the Indiana State Board of Health Facility Administrators; OR
  3. Completion of a specialized course of study provided by HOPE  or Success Development, Inc. in long-term health care administration prescribed by the Indiana State Board of Health Facility Administrators.
• Completion of a 1040 hour administrator-in-training program supervised by a board certified preceptor. A waiver of the administrator-in-training program may be granted if the applicant qualifies under the board determined equivalents as stated in 840 IAC 1-1-4(c). Additionally, a waiver of up to 30% of the AIT program hours can be granted under 840 IAC 1-1-4 (g).
• A waiver of the educational and the six (6) month administrator-in-training program requirements may be granted if the applicant qualified under the board determined equivalents as stated in 840 IAC 1-1-4(b).
• Completed application with $100.00 application fee. If a temporary permit is desired and additional $50 fee shall be submitted with the application.
• Two passport type photos - no Polaroid type or laminated cards will be accepted.
• Official transcripts showing your degree has been conferred.

If you answer "YES" to any of the questions on the last page of the application please submit the following along with your application:

• A notarized and DETAILED personal explanation of the incident(s);
• Court or other official documents regarding the incident(s) explaining the charges, fines and current disposition; and
• Proof of completion of all ordered remediation (i.e. probation, court ordered alcohol/drug treatment, community service, etc).

Failure to submit the aforementioned information will result in the delay of your application.  All positive response applications are subject to the review of the Board. You may be asked to make a personal appearance at a Board meeting to explain your response.

RCA Applicants

• Educational requirements:
  1. Possession of a baccalaureate degree or higher in any subject from an accredited institution; OR
  2. Possession of an associate degree in health care from an accredited institution and completion of a specialized course of study provided by HOPE and Success Development, Inc. in residential care administration prescribed by the Indiana State Board of Health Facility Administrators; OR
  3. Completion of a specialized course of study provided by HOPE and Success Development, Inc. in residential care administration prescribed by the Indiana State Board of Health Facility Administrators.
• Completion of a 860 hour administrator-in-training program supervised by a board certified preceptor. A waiver of the administrator-in-training program may be granted if the applicant qualifies under the board determined equivalents as stated in 840 IAC 1-1-4(d). Additionally, a waiver of up to 30% of the AIT program can be granted under 840 IAC 1-1-4 (g).
• A waiver of the educational and administrator-in-training program requirements may be granted if the applicant is qualified under the board determined equivalents as stated in 840 IAC 1-1-4(e).
• Completed application with $100.00 application fee. If a temporary permit is desired and additional $50 fee shall be submitted with the application.
• Two passport type photos - no Polaroid type or laminated cards will be accepted.
• Official transcripts showing your degree has been conferred.

If you answer yes to any of the questions on the last page of the application, please submit the following along with your application:

• A notarized and DETAILED personal explanation of the incident(s);
• Court or other official documents regarding the incident(s) explaining the charges, fines and current disposition; and
• Proof of completion of all ordered remediation (i.e. probation, court ordered alcohol/drug treatment, community service, etc).

Failure to submit the aforementioned information will result in the delay of your application.  All positive response applications are subject to the review of the Board.